Provider Demographics
NPI:1497829303
Name:OPTICS BY MARTIN BARRY INC.
Entity Type:Organization
Organization Name:OPTICS BY MARTIN BARRY INC.
Other - Org Name:TRAPP OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OPHTHALMIC DISPENSER
Authorized Official - Phone:914-337-0707
Mailing Address - Street 1:42 PONDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3802
Mailing Address - Country:US
Mailing Address - Phone:914-337-0707
Mailing Address - Fax:914-337-1072
Practice Address - Street 1:42 PONDFIELD RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3802
Practice Address - Country:US
Practice Address - Phone:914-337-0707
Practice Address - Fax:914-337-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC004472332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0455120001Medicare NSC